The use of video-assisted thoracic surgery in the treatment of pediatric bronchogenic pulmonary cysts

Abstract

Objective To study the role of video-assisted thoracic surgery(VATS)in the treatment of pediatric bronchogenie pulmonary cyst.Methods We had performed a retrospective review included 41 patients undergoing pediatric bronchogenic pulmonary cyst treatment by VATS at our department between Junl993 and Jun 2007.Patients aged from 8 days to 12 years with an average of 4.81years.All of the patients were performed single-lumen end otracheal tube anesthesia.Two-port VAT Swas aDplied,and other 1 or 2 ports might be replenished if it was necessary.Other small incision was necessity to remove tissue and bronchogenic pulmonary cyst foci.Simple interrupted suture or Endo-cutter was performed to close bronchial stump.The clinical records of all patients were recorded for anatysis:incision size,duration of surgery,type of surgery,drain quantity,time of chest tube drainageand Postoperative stay.Results All of the patients underwent VATS.Two cases with mediastinal bronchogenic cyst underwent cyst incision and turnover operation,14 cases with intrapulmonary cyst underwent pulmonary wedge resection,and 25 cases with single or multiple pulmonary cysts confined to one lobe underwent lobectomy.Operation time varied from 45 to 265 min with an average of41.45 min.Incision length varied from 1.5 to 7 cm(average,4.41 cm).Intraoperative bleeding volumevaried from 5 to 400 ml(average,41.45 m1).One or two tubes of chest drainage were preserved for 1to 7 days(average 2.02 d).Whole drainage volume varied from 85 to 770 ml(average,207.17 ml).Postoperative hospital stay varied from 1 to 25 d(average,6.97 d).Conclusions VATS is a feasible,safe,and minimal invasive treatment to pediatric bronchogenic pulmonary cysts. Key words: Bronchogenic Cyst; Thoracic Surgery,video-assisted